New TSA Concussion Policy TSA Concussion Policy Was created in - - PowerPoint PPT Presentation

New TSA Concussion Policy

TSA Concussion Policy

• Was created in collaboration with the Holland Bloorview Kids

Rehabilitation Hospital’s concussion centre from February 2017 to April 2017

• Reviewed and approved by TSA technical committee

Objectives:

• Ensure all players are playing the safest possible environment by

implementing new policy and protocols

• Equip the minor soccer community with the tools and training

they need to identify and manage concussions.

STEP 1 Identifying a suspected concussion and removal from play STEP 2 Completion and submission of the TSA Suspected Concussion Report Form STEP 3 Seeing a medical professional, obtaining appropriate diagnosis and documentation STEP 4 Submission of concussion diagnosis of medical documentation STEP 5 TSA Post-Concussion Return to Play Protocol

The Concussion Policy (pages 1-4) is broken down into 5 steps:

TSA Concussion Policy

• Page 5: TSA Suspected Concussion Report Form
• Page 6: Flow Chart on Policy Summary
• Page 7-8: TSA Post-Concussion Return to Play Protocol

TSA Concussion Policy

Case Scenario

Ryan ran into another player during a game, and fell down onto the field. He finished the shift, but you observed Ryan running slower than usual after the collision, and he appeared off balance. The head coach approaches Ryan and asks if he’s okay. Ryan says “he’s fine” but has “blurry vision and a slight headache”. The head decides to remove the player from the game for a suspected concussion, and Ryan enters the TSA Concussion Policy.

TSA Concussion Policy

STEP 1: Identifying a suspected concussion and removal from play

• Any player who experiences signs and symptoms of concussion

following a blow to the head or body will be considered to have a suspected concussion and must stop participation in the TSA club sanctioned activity immediately.

• A TSA club sanctioned activity is any:

I. TSA league or cup matches II. Ontario Soccer sanctioned competition

• III. Any team coach supervised training

TSA Concussion Policy

Signs & Symptoms of Concussion

3 ways to identify signs and symptoms of a suspected concussion:

1. Self-reported signs & symptoms 2. Observed signs & symptoms 3. Peer-reported signs & symptoms from players, parents and/or team

• fficials

**If you suspect that a player may

have a concussion, they should be removed from play immediately**

STEP 1: Identifying a suspected concussion and removal from play

• If a suspected concussion occurs, it is the responsibility of the

head coach to remove players with a suspected concussion from participation in the soccer activity immediately

• However, all team officials (head coach, assistant coach, trainer,

manager, assistant manager, match officials or executive member) hold a responsibility to recognize the signs and symptoms of concussion, and report the suspected concussion to the head coach

TSA Concussion Policy

• If a player experiences even 1 sign or symptom of concussion they will be

considered to have a suspected concussion Figure 1: GENERAL CONCUSSION SYMPTOMS Headache Feeling mentally foggy Sensitive to light Nausea Feeling slowed down Sensitive to noise Dizziness Difficulty concentrating Irritability Vomiting Difficulty remembering Sadness Visual problems Drowsiness Nervous/anxious Balance problems Sleeping more/less than usual More emotional Numbness/tingling Trouble falling asleep Fatigue

TSA Concussion Policy

• If a player experiences a sudden onset of any of the “red flag symptoms”,

911 should be called immediately.

Figure 2: RED FLAG SYMPTOMS

Headaches that worsen Can’t recognize people or places Seizures or convulsion Increasing confusion or irritability Repeated vomiting Weakness/tingling/burning in arms or legs Loss of consciousness Persistent or increasing neck pain Looks very drowsy/can’t be awakened Unusual behavioural change Slurred speech Focal neurologic signs (e.g. paralysis, weakness, etc.)

TSA Concussion Policy

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

Head coaches must:

1. Monitor player until a parent/guardian is contacted or on-site. Players with a suspected concussion should not be left alone. 2. Recommend to the players parent/guardian that they see a medical professional immediately 3. Complete the TSA Suspected Concussion Report Form immediately after a concussion is suspected.

TSA Concussion Policy

Head coaches must: 4. Submit the TSA Suspected Concussion Report Form immediately after a concussion is suspected and provide one copy to:

• The players parents/guardian to take to their physician

appointment

• Your club administrator within 24 hours of completing the form.

5. Club administrators are responsible for reviewing the submitted Suspected Concussion Report Form from head coaches and providing to the TSA

TSA Concussion Policy

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

Questions About Step 1 & 2

STEP 1: Identifying a suspected concussion and removal from play & STEP 2: Completion and submission of the TSA Suspected Concussion Report Form

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

TSA Concussion Policy

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

TSA Concussion Policy

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

TSA Concussion Policy

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

TSA Concussion Policy

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

Reminder:

• One copy to the players parents/guardian
• One copy to your club administrator within 24

hours of completing the form

TSA Concussion Policy

Questions About Step #2

STEP 2: Completion and submission of the TSA Suspected Concussion Report Form (Page 5)

• It is the parent/guardian’s responsibility to take the player to see a medical

professional immediately

• A medical professional includes: family physician, pediatrician, emergency

room physician, sports-medicine physician, neurologist or nurse practitioner who is not an immediate family member. *Documentation from any other source will not be acceptable*

• Written documentation must be obtained if a concussion has occurred or not.

A player is not permitted to return until written documentation from a medical professional has been obtained

• Share policy flowchart (page 6) with parents as a summary

STEP 3: Seeing a medical professional, obtaining appropriate diagnosis and documentation

TSA Concussion Policy

Questions About Step #3

STEP 3: Seeing a medical professional, obtaining appropriate diagnosis and documentation

STEP 4: Submission of concussion diagnosis of medical documentation If medical professional determines that the player did not have a concussion:

• Parent/guardian must give written documentation from the

medical professional to the head coach

• Head coach must submit documentation to the to their club

administrator BEFORE the player is permitted to return to a TSA activity

• Club admins will review and send to TSA

TSA Concussion Policy

STEP 4: Submission of concussion diagnosis of medical documentation If medical professional determines that the player did not have a concussion:

• Parent/guardian should continue to monitor the player for at least 24-

72 hours after the event, as signs and symptoms may take hours or days to appear

• Head coaches have the right to refuse a player to return to any

hockey activity if they deem the player unfit to do so

TSA Concussion Policy

STEP 4: Submission of concussion diagnosis of medical documentation If medical professional determines that the player does have a concussion:

• Parent/guardian must take the written documentation from the

medical professional to the head coach

• The player is to begin Stage 1 of the Post Concussion TSA Return to

Play Protocol

TSA Concussion Policy

STEP 4: Submission of concussion diagnosis of medical documentation NO Concussion YES Concussion

• Submit medical documentation

to club admin

• Parent/guardian should continue

to monitor the player for at least 24-72 hours

• Submit medical documentation

to club admin

• Begin Step 1 of the Post

Concussion TSA Return to Play Protocol

TSA Concussion Policy

In summary:

Questions About Step #4

STEP 4: Submission of concussion diagnosis of medical documentation

STEP 5: Return to Play Protocol (STAGE 1 & 2)

TSA Concussion Policy

STEP 5: Return to Play Protocol (STAGE 3)

TSA Concussion Policy

STEP 5: Return to Play Protocol (STAGE 4)

TSA Concussion Policy

STEP 5: Return to Play Protocol (STAGE 5)

TSA Concussion Policy

STEP 5: Return to Play Protocol (STAGE 6 & 7)

TSA Concussion Policy

STEP 5: TSA Return to Play Protocol (Page 7-10)

• Parent/guardian and the player are responsible for each step of the

Post Concussion TSA Return to Play Protocol and for the required signatures at each stage

• Players must be able participate in each stage for a minimum of 24

hours without experiencing any symptoms

• If the player experiences any symptoms they should stop that activity

immediately, rest for 24 hours, and return to the previous successful stage

• Head coaches to sign off of Stages 4, 5 and 6 during team practices to

say they were completed as stated.

TSA Concussion Policy

STEP 5: TSA Return to Play Protocol (Page 7-10)

• A player is not permitted to proceed to Step 6: Full Team Practice

until written permission by a medical professional

• Head coaches will not allow players to return to full a team practice

until medical clearance received from a physician.

• Once received, the parent/guardian must take BOTH: written

documentation of medical clearance from physician and TSA Return to Play Protocol with all signatures completed (parent, player and head coach) and provide to head coach.

TSA Concussion Policy

STEP 5: TSA Return to Play Protocol (Page 7-10)

• It is the responsibility of the team’s head coach to submit medical

clearance and TSA Return to Play Protocol with signatures completed to their club admin prior to returning the player returning to full team practice

• Once received, club admins will review and send to TSA. Club admins

ill only follow up wit head coach if necessary.

Head coaches have the right to refuse a player to return to any GTHL hockey activity if they deem the player unfit

TSA Concussion Policy

Questions About Step #5

STEP 5: TSA Return to Play Protocol (Page 7-10)

Special Considerations

Scenario 1: A suspected concussion from a TSA activity is not identified/reported until days or weeks after the TSA activity.

• Enter at Step 2: Completion and submission of the TSA Suspected

Concussion Report Form Immediately upon the concussion being identified/reported to TSA team officials, the head coach is to complete the TSA Suspected Concussion Report Form and recommend that the player see the a medical professional immediately.

TSA Concussion Policy

Special Considerations

Scenario 2: A player is diagnosed with a concussion from a non TSA activity (i.e. school, other sports, non TSA related games or training).

• Enter at Step 4: Submission of medical documentation of

concussion diagnosis

• Upon receiving from parent/guardian, the head coach is to submit

medical documentation to their club admin.

• As the concussion did not happen at a TSA activity, no TSA

Suspected Concussion Report Form is needed

TSA Concussion Policy

Summary: STEP 1 & 2

TSA Concussion Policy

Summary: STEP 3

TSA Concussion Policy

Summary: STEP 4 & 5

TSA Concussion Policy

Stakeholder Responsibilities

Under this policy, head coaches are responsible for:

1) Recognizing and removing:

• Recognizing the signs & symptoms of concussion
• Removing players, monitoring and recommend they seek medical

attention 2) Completing and/or reviewing the following forms:

• TSA Suspected Concussion Report Form
• Medical documentation (physician diagnosis and clearance )
• Return to Play Protocol ( and co-sign stages 4, 5 & 6)

3) Submitting all forms received from parents to their club administrator 4) Ensuring all players with a suspected concussion to not return to TSA club sanctioned activities until being medically cleared by a physician to do so.

Stakeholder Responsibilities

Under this policy, club admins are responsible for:

1) Reviewing the three documentation to submitted from head coaches:

• TSA Suspected Concussion Report Form
• Medical documentation (physician diagnosis and clearance )
• Post- Concussion Return to Play Protocol

*To ensure: completion, physicians diagnosis/clearance, and correct timelines. 2) Organizing documents and sending to TSA

Stakeholder Responsibilities

Team Officials

• All other team officials (assistant coach, trainer, manager, assistant

manager, match officials or executive member) hold a responsibility to recognize the signs and symptoms of concussion, and report the suspected concussion to the head coach Match Officials

• Recognize the signs & symptoms of concussion and report the suspected

concussion to the head coach

• Enforce rules and penalize dangerous plays

Under this policy other team officials and match officials are responsible for:

Stakeholder Responsibilities

Parents

• Obtaining documentation from physicians
• Are most responsible person for Return to Play Protocol
• Co-signing all stages in Return to Play Protocol
• Communicating and sending documentation (diagnosis/no diagnosis, medical

clearance and completed Return to Play Protocol to head coach). Players

• Report signs and symptoms of concussion to head coach, and be honest with

coaches, team officials and parents

• Gradually move through Return to Play Protocol
• Co-sign all stages in Return to Play Protocol

Under this policy other parents and players are responsible for:

Thank you